| NPI | 1538902234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2024026088) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: MO 2020009004) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-07-05 |